Average salary: $219,500 /yearly
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- This individual will direct and manage the day-to-day operations of the Utilization Review department. Essential Functions Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient’s provider benefits for their needs...Suggested
$127.3k - $236.1k
...28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization... ...State RN license is required. Position Purpose Directs the utilization management team to ensure the appropriate application of...SuggestedFull timePart timeWork at officeLocal areaRemote workFlexible hours- ...patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1... ...of Medicine at the University of Houston. Job Summary The Director, Utilization Management, is responsible for overseeing the direct patient...SuggestedWork experience placementRemote workFlexible hoursWeekend work
$135.93k - $203.72k
...responsible for providing a clinical leadership role to the Utilization Management Department by managing the day-to-day clinical and... ...identify trends and recommend interventions to the Medical Director. Accountable for utilization management metrics and reporting...Suggested$154.6k - $236.56k
Overview The Director of Utilization Management is a strategic clinical operations leader responsible for delivering operational oversight for Utilization Management (UM) teams. This high-impact leader ensures the delivery of medically necessary, cost-effective, and high...SuggestedTemporary workWork experience placement- Title: Director, Utilization Management Department: Clinical Operations Reports To: Vice President, Clinical Operations FLSA Status: Exempt Location: Hybrid, 2 days in office (Tuesday and Thursday in office 1460 Broadway New York, NY), 3 days Remote Position Summary The...SuggestedWork at officeRemote work
- Director, Actuarial Analytics – Healthcare Utilization & Revenue Forecasting page is loaded## Director, Actuarial Analytics – Healthcare Utilization & Revenue... ...revenue, and cost across products and lines of business.* Manage pricing analyses and rate-setting workstreams for...SuggestedFull timeContract workWork at officeRemote work
Athenahealth India
Atlanta, GA1 day ago - ...Director, Consulting Services The 1898 & Co. Director is responsible for the successful sale and execution of management and advisory consulting engagements within the 1898 & Co. consulting... ...the efficient, cost-effective utilization of staff. Develop and contribute...SuggestedFull timeContract workFor subcontractor
$32.5k
...Director of Patient Access Nashville General Hospital is hiring a Director of Patient Access for full-time Day! The Director... ...and directing the overall operations of Patient Access and Utilization Management. Oversee scheduling, registration, financial counseling,...SuggestedWeekly payFull timeContract workTemporary workLocal areaFlexible hoursShift workNight shiftWeekend workNashville General Hospital
Nashville, TN2 days ago$153.72k - $230.58k
...prominent healthcare institution in New York is seeking a Director of Pre Appeals Management to lead operational oversight for the pre-appeals... ...Candidates must hold a BSN and have extensive experience in utilization management and appeals. Salary ranges from $153,723 to...SuggestedRemote job$199.99k - $250k
We're on a path to better healthcare. Join us Director Utilization Mgmt (Relocation Bonus Available) Compensation Information: $199,992 - $... ...you make a difference The Medical Director of Utilization Management leads and oversees utilization review, case management, quality...SuggestedWork at officeRelocation package- A leading technology company is seeking a Senior Director for the Utility Market in North America. This remote role involves driving innovative marketing and sales strategies for Transformers products. Ideal candidates should have a strong engineering or business background...SuggestedRemote job
- A prominent healthcare organization in Houston seeks an experienced Director of Utilization Management to oversee patient review processes and manage payer relationships. This pivotal role emphasizes clinical oversight and the development of comprehensive patient care...SuggestedRemote work
$90k - $105k
A local government entity in South Carolina is seeking a Utilities Director to oversee the operation of water and wastewater systems. The role involves managing capital projects and a budget of the utility fund while ensuring exceptional customer service. Candidates should...SuggestedLocal areaWeekend work$199.99k - $250k
We're on a path to better healthcare. Join us. Position : Director Utilization Management (Relocation Bonus Available) Compensation : $199,992 - $249,995.2 / year Department : Regional Office Location: Lemoyne, Pennsylvania (Onsite) You Matter Make a difference every...SuggestedWork at officeRelocation package- A clean energy storage firm in Portland seeks an experienced Director of Preconstruction to join its team. This role involves managing EPC functions for utility-scale battery projects, ensuring readiness for construction and supporting M&A activities. Candidates should...
- A leading healthcare provider in Texas is seeking an experienced nursing manager to oversee case management and utilization review. The ideal candidate will have at least five years in case management, expertise in medical necessity guidelines, and a strong capability...
- A community health system in Charleston, South Carolina, is seeking a Director for Utilization Management. This role involves overseeing the patient utilization review process and managing payer relationships. The ideal candidate should have a Master's degree in a relevant...Remote work
- A leading energy storage developer is seeking a Director of Preconstruction to oversee EPC functions for utility-scale battery energy storage projects across the... ...role demands strong negotiation skills, project management experience, and a deep understanding of BESS technology...
- ...purpose: With the general direction from the VP Sr. Medical Director Clinical Management and SVP/Chief Medical Officer will provide strategic... ...oversight responsibility for the clinical and operational utilization management activities for all inpatient and outpatient care...Local area
- ...Ideal Candidate: We are seeking an accomplished and dedicated Utilities Director to provide strategic leadership and operational oversight... ...years of progressively responsible leadership experience in the management of public utility systems, including substantial supervisory...
- A leading pharmaceutical company is seeking a Head of Critical Utilities in Thousand Oaks to ensure uninterrupted delivery of utilities for their 24/7 GMP operations. You will lead a team, manage budgets, and be responsible for compliance with regulations. The role requires...
- A leading healthcare provider in Salt Lake City is looking for a Director of Utilization Management. This role involves overseeing patient utilization reviews, managing payer relationships, and integrating patient care coordination plans. Candidates should have a Master...Remote workFlexible hours
- A leading health insurance provider is looking for a professional to lead its Utilization Management activities in Worcester. This role involves managing both inpatient and outpatient care and ensuring compliance with regulatory requirements. Candidates should hold a Master...
- ...currently enrolled in a program to achieve Master’s degree within two years of hiring EXPERIENCE Five years in case management with three years including utilization review, with two years in people management in a healthcare setting Expertise with nationally recognized...Permanent employmentWork at office
$299.39k - $387.46k
...community. The City runs a municipal electric utility, Silicon Valley Power (SVP), serving... ...Operating Officer (COO) reports to the Director of Silicon Valley and leads the fiscal,... ...Operations, Customer Development and Project Management, Resource Planning and Customer...Flexible hoursJennifer Powers
Santa Clara, CA1 day ago- A prominent health system seeks a Director of Utilization Management and Clinical Documentation Improvement in Gainesville, GA. This role involves leading the UM and CDI departments, ensuring documentation accuracy, optimizing reimbursement, and enhancing patient outcomes...
$276.83k - $358.26k
...This is your opportunity to be part of this amazing people-first utility company and to Thrive! THE COMMUNITY At the center of Silicon... ...professional leadership.” The City operates under a Council‑Manager form of government. The City Council consists of a Mayor who is...Full timeSummer workFlexible hours$276.83k - $358.26k
A public utility company in Santa Clara seeks an Electric Utility Chief Operating Officer (COO) to oversee operations and manage resources. The ideal candidate will possess strategic vision, technical expertise, and strong leadership skills. Responsibilities include guiding...$299.39k - $387.46k
A municipal utility in Santa Clara is seeking a Chief Operating Officer to oversee operations for Silicon Valley Power. The role involves managing utility operations, executing a ten-year growth plan, and ensuring regulatory compliance. Candidates should have a Bachelor...
